2018-2019年河北省居民脑卒中发病流行病学特征分析  

Analysis of epidemiological characteristics of stroke in residents in Hebei Province from 2018 to 2019

作　　者：史卫卫 韦琴 赵晶晶 高金钗 张新亮[1] 鲍文[1] 崔泽[1] 孙纪新[1] SHI Weiwei;WEI Qin;ZHAO Jingjing;GAO Jinchai;ZHANG Xinliang;BAO Wen;CUI Ze;SUN Jixin(Institute of Chronic Non-communicable Disease Prevention and Control,Hebei Provincial Center for Disease Control and Prevention,Shijiazhuang,Hebei Province 050021,China;不详)

机构地区：[1]河北省疾病预防控制中心慢性非传染性疾病防治所,河北省石家庄050021 [2]河北医科大学公共卫生学院

出　　处：《中国慢性病预防与控制》2023年第4期274-277,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：河北省2020年度医学研究课题计划(20200689)。

摘　　要：目的 了解2018—2019年河北省常住居民脑卒中发病特征,为制定脑卒中防控措施提供科学依据。方法 2018—2019年河北省脑卒中发病数据来源于河北省18个监测点(县、市、区)常住居民心脑血管事件发病监测数据。采用SPSS22.0计算发病率、标化发病率、脑卒中分型构成比及复发率,并对发病率进行χ^(2)检验。结果 2018—2019年河北省18个监测区(县)共报告脑卒中新发病例89 407例,其中男性50 334例,女性39 073例。脑卒中发病率为477.12/10万,标化发病率为534.16/10万。男性居民脑卒中发病率(534.72/10万)高于女性(418.98/10万),差异有统计学意义(χ^(2)=1 321.78,P<0.05)。城市脑卒中发病率(522.04/10万)高于农村(455.92/10万),差异有统计学意义(χ^(2)=375.97,P<0.05)。脑卒中分型中,脑梗死占总发病数的80.34%。脑卒中发病率随年龄的增长而上升,自45岁起上升明显,45岁及以上脑卒中发病占到发病总数的96.92%。85~岁组脑卒中发病率最高,为4 774.07/10万。河北省脑卒中1年复发率为18.94%,复发率随年龄增长而上升,55岁后上升明显。结论 河北省脑卒中发病率及复发率较高,脑梗死是脑卒中主要发病病种,男性、城市居民及中老年人群为脑卒中发病的高危人群,需加强防控措施控制脑卒中发病率。Objective To understand the attack characteristics of stroke of permanent residents in Hebei Province from 2018 to 2019,and provide the scientific basis for formulating stroke prevention and control measures.Methods The incidence data of stroke in Hebei Province from 2018 to 2019 were from the monitoring data of cardiovascular and cerebrovascular events of permanent residents in 18 monitoring districts(counties,cities and districts)in Hebei Province.The incidence rate,standardized incidence rate,stroke sub-type ratio and recurrence rate were calculated by SPSS 22.0,and the χ^(2) test was used to analyze the morbidity.Results From 2018 to 2019,89407 new cases(male:50334,female:39073)of stroke were reported in these 18 surveillance sentinels of Hebei Province.The incidence rate of stroke was 477.12/105,and stroke standardized incidence rate was 534.16/105.The incidence rate(534.72/105)of stroke in males was significantly higher than that(418.98/105)of females(P<0.05).The incidence rate(522.04/105)of stroke in urban areas was significantly higher than that(455.92/105)in rural areas(P<0.05).Among the subtypes of stroke,the cerebral infarction ranked the first(80.34%).The stroke incidence increased with age,when residents were≥45 years old,the stroke incidence increased obviously;when residents were≥45 years old,the number of stroke accounted for 96.92%of total stroke number.The stroke morbidity(4774.07/10^(5))in≥85 years old group was the highest.The recurrence rate of stroke for one year in Hebei Province was 18.94%,and the recurrence rate increased with age,and the recurrence rate increased significantly when stroke patients were>55 years old.Conclusion The incidence and recurrence rate of stroke of the residents in Hebei Province are relatively high.Cerebral infarction is the main type of stroke.Males,urban residents,and the middle-aged and elderly people are subgroups at high-risk of stroke.It is necessary to strengthen the prevention and control measures to control the incidence of stroke.

关 键 词：脑卒中 监测 发病率 

分 类 号：R743.34[医药卫生—神经病学与精神病学]